A nurse is caring for a client with COPD who developed acute…
A nurse is caring for a client with COPD who developed acute respiratory distress syndrome (ARDS). The client is receiving mechanical ventilation with the following settings: SIMV, FiO₂ 80%, tidal volume 450 mL, rate 16/min, and PEEP 5 cm H₂O.During the shift, the nurse notes the following assessment findings: Increasing restlessness and fatigue, Substernal chest pain, Dry, nonproductive cough and SpO₂ 91%. Which complication should the nurse suspect and report immediately to the healthcare provider?